Comprehensive procedure, guidelines and check
list for empanelment of private hospitals
GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
(RAILWAY BOARD)
No.2016/H-1/11/58/Policy
New Delhi, dated 25.4.2018
The General Managers,
All Indian Railways & Production Units,
Sub:
Comprehensive procedure, guidelines and
check list for empanelment of private
hospitals.
Ref:- SER’s letter no.CMD/SER/Hosp. Tie-up/2303 Dated
14.11.2017.
PCMD/SER
vide their letter under reference had sought necessary
guidelines to be
followed while empanelling private hospitals in
consequence of powers
delegated to the GMs for empanelment of private
hospitals vide Railway
Board letter no. 2017/Trans/01/Policy dated 18/10/17
and to the DRM’s
for divisions and CWMs for workshops vide letter
no.2017/Trans/01/Policy/Pt 1 dated 30/11/17. Such
powers are to be
exercised by the delegated officers in person and shall
not be delegated
below. Hence now no proposal for empanelment is
required to be sent to
Railway Board.
A comprehensive guideline for procedure and
checklist to be followed while empanelling private
hospitals are being
issued as per Annexure enclosed. Any new guidelines
issued from MoH
& FW as and when issued shall be duly incorporated
and advised.
This is in surprise of all earlier guidelines issued
from Railway Board on this subject.
This issues with the concurrence of the Finance
Directorate of the Ministry of Railways.
(Mrs. H.K. Sanhotra)
Joint Director-II/Health
Comprehensive Procedure Guideline & Check
List For Empanelment of Private
Hospitals
The empanelled hospitals have been broadly
categorised into two groups:-
A.
CGHS / E$l / ECHS empanelled hospitals and Government
of India / Public
Sector Undertaking hospitals like of SAIL, BHEL, Coal
India, etc.
B.
Other private hospitals which are neither empanelled
by CGHS, ECHS
& ESI nor are run by Government of India Public
Sector Unit. (PSU).
The
following guide lines and check list are to be kept in
consideration
while empanelling hospitals by Railways. The point
common to both these
types of hospitals are given below:-
1. Justification for the
proposal mentioning the present status of Railway
Hospital i.e. number
of Doctors & Paramedical on roll vis. a vis.
sanctioned strength,
services provided by it, any future plan for expansion,
no. of Honorary
Consultants/Visiting Specialists (specialty wise) &
CMPs and despite
existing facilities why referral services are still
required.
2.
Justification for empanelment with technical aspect
i.e. number of beds/
facilities/specialties/services offered/medical set up
etc. at the
proposed hospital.
3. Total number of Railway beneficiaries catered by the
Railway Hospital.
4.
In the Specialties Specialties for which Railway
hospital do not have
facilities if there are any reputed Government
Hospitals rendering
services in those specialties.
5. In CGHS covered states/cities,
hospitals should be empanelled only at CGHS rates (in
case of Government
of India, PSU hospital their own rate) or even lower
or some discount
etc offered by them. Names of the hospital empanelled
by CGHS / ECHS
/ESI can be obtained from respective website. Even in
places not covered
by CGHS, all out efforts should be made to empanel
hospital on CGHS
(city-specific) rates only. In case of any deviation
from CGHS rates,
justification to be given by MD / CMS / CMO in charge,
duly concurred by
Associate Finance before being approved by Competent
Authority.
6.
Comparative statement of package rates as well as
diagnostic charges of
the proposed hospital with (i) other empanelled
hospitals in the city
and (ii) the CGHS rates of that city or the nearest
city in tabulated
form.
7. Two copies of rate list of hospital duly verified by
competent authority. After approval, one copy along
with sanction letter
to be sent to HQ for uploading on Zonal website.
8. Concurrence of the Associate Finance as applicable
along with their verbatim comments
9.
Proposal to be sent for approval of GM /DG (RDSO) /DRM
/CAO /CWM as the
case may be (both for the first time and as well as
further renewals).
10.
Validity of empanelment will be two years or till it
is empanelled or
revoked by CGHS / ECHS /.ESI whichever is earlier and
for Government of
India PSU hospitals too it will be for two years, Same
for non CGHS /
ECHS / ESI hospitals too. Overall performance of the
hospital, patient’s
feedback etc. to be kept in mind while extension
11. Further
extension may be done with mutual consent of both
parties, arid will be
sanctioned by GM /DG (RDSO) /DRM /CAO /CWM as the case
may be (also see
para
A((a) & B(d)).
A. CGHS / ESI/ ECHS empanelled
hospitals and Government of India / Public Sector
Undertaking hospitals
like of SAIL’ 3HEL, Coal India, etc. -
(a) In case of CGHS / ECHS /
ESI empanelled & Government of India/PSU run
hospitals, a letter of
willingness from the hospital be obtained and can be
empanelled any
time Rates as and when revised by CGHS can be agreed
to.
B. Other private hospitals which are neither
empanelled by CGHS, ECHS & ESI
a) An open advertisement should be floated once a year
or as per requirement for empanelment of private
hospitals.
b)
Empanelment of such hospitals should be considered
only if there is no
other CGHS/ ECHS / ESI nor any hospital run by
Government of India -
Public Sector Undertaking like SAIL, BHEL, Coal India
etc. empanelled
hospital, preferably within a vicinity of 5kms from the
hospital already
empanelled.
c) Search committee should be constituted by MD / CMS
/ CMO, consisting of 3 doctors of at least JAG level
and they may
co-opt another doctor of particular speciality when
required. They will
visit the hospitals and give clear justification for
approving this
hospital.
d) For any increase in rates, at the time of extension
same should be justified by MD/CMS/CMO and concurred by
Associated
Finance and accepted by the concerned competent
authority. If such
increase in rates is more than 5%, the proposal duly
justified by
medical in charge and vetted by associate finance and
approval of DRM
/CWM in case of Division and workshops to be sent to
Headquarters for
sanction of General Manger. In case of headquarter
controlled Central
hospitals and Pus, General Manager / DG*(RDSO) will
approve such
proposals. However, no enhancement in rate is
permissible during that
period of recognition of two years.
Source: http://www.cghs.gov.in/
